I found this case particularly intriguing as it was my first time I have encountered a patient with this diagnosis. Secondly I found myself struggling every day whilst working with Robert (names and some circumstances have been adjusted to the needs of this assignment and to protect anonymity of the child and the family according to NMC code of conduct). I became this boy’s primary nurse, and from the very beginning of working with Robert I struggled to understand why he did not want to be helped. This however was the core nature of his mental health problem - pervasive refusal syndrome (PRS). Robert's main presenting problems were food refusal and oppositional attitude to any therapeutic interventions unless they were carefully planned to match his own pace of recovery.
In the case of “Jane Doe”, a kidney transplant patient, complete disclosure of risks about her procedure was not given. This failure to inform the patient led to her contracting not only hepatitis, but also HIV. The report claims, “Gift of Hope Organ & Tissue Donor Network in Elmhurst and the University of Chicago both knew the kidney donor was high-risk and did not inform the patient” (Vaughn 152). The physicians did not inform her of the risks of her new kidney transplant. Without this knowledge, Jane Doe gave what she believed was her informed consent for the surgery, which consequently violated her right to self-determination and did her extreme harm rather than good.
Warren beings her argument by acknowledging that abortion “…usually entails the death of a fetus. ( Social and Personal Ethics: The Moral Status Of Abortion, Marry Anne Warren, Page 109)” Shockingly enough, at least to many individuals, Warren still holds firm that safe abortion is both morally permissible and under no circumstance should be illegal. Warren recognizes that it is almost futile to argue with those who believe that abortion is equivalent to murder unless it is argued that fetuses to not have the same right to life as other human beings. She does this by
He was not able to make this decision on his own. Beneficence is the duty to do good. These two are at conflict with each other because JD was not conscious to tell the OPO that he wanted to donate his organs and “an average of 18 people die each day waiting for transplants that can't take place because of the shortage of donated organs.”("Donate the gift," 2009) 4. “The ability to influence patient care outcomes depends on a variety of forces, each of which the nurse must consider in order to influence care outcomes in an ethically appropriate
Explain the meaning of the term confidentiality Confidentiality refers to the need to handle personal and private information in ways that are appropriate, safe and professional and meet legal requirements. There are three main reasons why confidentiality is an important issue in a health and social care setting. Trust The relationships you build with service users and their families are central to your care role. If you share their personal information with others who have no need or right to know you risk breaking their trust in you. Individuals also need to know there are secure systems and procedures operating in the care setting to protect confidential information.
Denial and Isolation – “This can’t be true”, “It isn’t really happening to me?” they go to several doctors appointments for second opinions hoping to get the answer that they want. It may be they will ignore an illness thinking that if they do nothing it will go away or they have already gone to the doctor and were given medical advice on what not to eat or do but they will continue to do as they please regardless of what was told to them thinking if they disregard the advice the problem will not arise. When they start to realize they’re going to die, the patient will usually become angry which brings us to the next stage. 2. Anger – the reality of
family and all professional bodies who have involvement in Hannah’s medication eg Social workers, psychologist, day centres etc i'm aware Hannah may refused to give further information regarding the topic. May isolate herself and as she may feel she has no one to trust, therefore it is important that I explain to her that it is my duty of care to look after her well-being. Biii) Describe ways to maintain confidentiality in day to day communication. 1) Keep care plans in folders and not in general areas (eg lounge, kitchen) 2) Not discussing information with any other than legally involved (sometimes this includes family) 3) Medical - not telling general public medicines and the medical disorder of clients.
This case study highlights the aforementioned ethical considerations and raises questions around confidentiality, autonomy and personal ethical standpoints. Firstly it’s imperative to focus on the client, the therapeutic relationship and eliminate the third party information. In this particular case study the clear distinction is that the information regarding HIV was not given to the counsellor in a therapeutic environment. Therefore mandatory reporting becomes obsolete, and one must not allow personal ethical standpoints to interfere. There are ethical consequences relating to respect for autonomy that can result here, where the health care provider believes that they have the patient’s, or those whom the patient shares needles with, best
After being taught the “ABCDE” assessment tool, I was asked to perform it with supervision. However, due to hesitation, my C.E. prompted me towards the right answers. Mr A had crackles in most areas of the lungs indicating secretions and no breathing sounds in his left basal segment. Our objective was to clear the secretions, however, Mr A was only responsive to pain and would therefore be unable to follow the breathing commands of ACBT to remove secretions.
Clinical Reflection Paper Throughout my clinical experience there have been several interferences that everyday life has thrown at me that have caused a delay on me finishing clinical, there were several times that I wanted to give up on not just clinical but on the everyday struggle of life. So for me my clinical weakness would be not allowing my own life outside of work or my education to steer me off focus of my main goals. Nothing good comes easy and without sacrifice and as God continues to wake me up every morning I am learning that lesson more and more. I feel like it’s all been a test, a test to see how bad I really want succeed. Another weakness would be confidence, I know I am capable of doing the work but sometimes I doubt myself and my capabilities especially in the O.R.